Immunizations: Children (Combo 10) Tip Sheet

Measure Description:

The percentage of children who have received all the following vaccines (Combo 10) by their 2nd birthday:

4 diphtheria, tetanus, and acellular pertussis (DTaP) (first dose after 42 days after birth).
3 inactivated polio vaccine (IPV) (first dose after 42 days after birth).
1 measles, mumps and rubella (MMR)* (on or between child’s 1^st and 2^nd birthday).
3 haemophilus influenzae type b (Hib) (first dose after 42 days after birth).
3 hepatitis B (HepB)*(first dose 0-4 weeks).
1 varicella (VZV)*(on or between child’s 1^st and 2^nd birthday).
4 pneumococcal conjugate vaccine (PCV) (first dose after 42 days after birth).
2 or 3 rotavirus (RV)** (first dose after 42 days after birth).
1 hepatitis A (HepA)*(on or between child’s 1^st and 2^nd birthday).
2 influenza (Flu) (vaccines given after 180 days after birth up to or on the child’s 2^nd birthday).

*For MMR, HepB, HepA and VZV, documentation of history of illness or a seropositive test result for the antigen would meet compliance.

**Members may need 2 or 3 rotavirus doses, depending on the brand of vaccine that was administered. The following will make the member compliant for this vaccine:

3 doses for RotaTeq.
2 doses Rotarix.
1 Rotarix AND two RotaTeq

Incentive

Exclusions

Anaphylactic reaction to the vaccine or its components
Encephalopathy with a vaccine adverse-effect code for DTaP
For MMR, VZV and influenza:
- Immunodeficiency
- HIV
- Lymphoreticular cancer, multiple myeloma or leukemia
- Anaphylactic reaction to neomycin
Severe combined immunodeficiency or history of intussusception for rotavirus.
Anaphylactic reaction to streptomycin, polymyxin B or neomycin for IPV.
Anaphylactic reaction to common baker’s yeast for HepB.

Coding Requirements

Data Collection

Data for this measure will be collected using claims, immunization registries (CAIR or RIDE), DHCS FFS encounter claims, Santa Cruz Health Information Exchange (SCHIE), and provider data submissions via the Data Submission Tool (DST) on the Portal del Proveedor.

Run a report from your electronic health record (EHR) system.
Manually compile patient data (Example: Download monthly childhood immunizations quality report or your Care-Based Incentives Measure Details report on the Provider Portal and compare to EHR).

How to Submit Data

Best Practices

Keep staff up to date with current vaccine requirements.
Review Standing Orders to ensure that vaccinations are available during all visits, including sick or well, regular hours, or weekend clinics.
Ensure staff has current accounts with your local immunization registry, and staff is trained to entry both administered and vaccines from health records into the registry.
Check the registry prior to administering any vaccines to ensure the child has not already received the vaccine.
Keep clinical staff up to date with current recommendations and communication tools, such as the CDC’s Provider Resources for Vaccine Conversations with Parents.
Always screen for contraindications. Most vaccines can be given even if the child has a mild illness.
Voice your strong support of immunization. Confident recommendation and education by a health care professional is the main reason parents decide to vaccinate.
Remind parents about upcoming appointments. Give reminders by phone, text, email or postcard.
Empower staff to chart prep to review the schedule of immunizations and avoid any missed opportunities.
Share reliable sources of immunization information with parents, such as Reliable Sources of Immunization Information: Where Parents Can Go to Find Answers! .
Provide members with a copy of the CDC vaccine schedule:
- CDC Vaccine Schedule - English
- CDC Vaccine Schedule – Spanish
Utilize an immunization checklist to improve your clinic’s vaccine compliance, such as the Immunization Action Coalition (IAC’s) Suggestions to Improve Immunization Services.

Recursos

Manejo de Cuidado

Immunizations: Children (Combo 10) Tip Sheet

Consigue Ayuda

Recursos Para Miembros

La Alianza

Herramientas de Accesibilidad